1647F2
E.
APPLICATIC
'FEB 2 8 1964
/6 9/8
LOT NO.
APPLIANCE PERMIT
OF CUPERTINO
Dater Es �•$ �d� j.rrT•+�n 196 ----- Permit No.–�.
i T 0- �it7rE �
Fee S�
Application is hereby made to the City of Cupertino for a permit to install
gas appliances as listed on the reverse side hereof, and agrees to install said
appliances in accordance with the provisions of the Plumbing rode of the City
of Cupertino, and all other laws applicable thereto.
Use of
RESI
Owner_ _ INLAND EMPIRE DEV. _ Address
By MERCURY SHEET METAL Address 81 ALICE AVE., MT. VIEW
CONTRACTOR, AG T
Phone 739-4223 Approved
PLUx61N0 INSPECTOa
Type of Appliance I Units Fees
Remarks (Check ✓)
kNew Replan I Relocate
Gas Ranges
Wall Heaters I
I I I
Gu Plates
II
Circulating Heaters I
I I I
Blower Furnaces I
II I I
Gas Fired Boilers
Warming Ovens
Percolators I
iI I
Griddles
II
Steam Tables
Gravity Furnaces I
II I
Suspended Unit
Floor Furnace
Miscellaneous
u
NAME TYPE)
�o 50
I�
II
1-2
II
_
Appliance Pees
Inspected and Approved%1 p. J(.. i7b—.\4...-- ....................
ATP. INSPECTOR